Freud
Psychosexual development
Stages of Development
Stage
Age Range
Erogenous zone
Oral
Birth to one year
Mouth
Anal
One to three years
Bowel and bladder
elimination
Phallic
Three to six years
Genitalia
Latency
Six to puberty
Dormant sexual
feelings
Genital
Puberty–death
Sexual interests
mature
Oral
 The infant's mouth is the focus of sexual gratification
derived from the pleasure of suckling at the infant
mother's breast.
 Id dominates
 Ego is not yet fully developed
 Super ego is not yet fully developed
Anal
 Ego continues to form
 Toilet training is the child's key anal-stage experience
 Conflicts between the Id and the Ego in ridding of
bodily waste
Phallic
 Child's genitalia are his or her primary erogenous zone
 Child knows physical (sexual) differences between
"male" and "female"
 Oedipus complex or Electra complex
 Defense Mechanisms:
First is repression
Then identification
Latent
 The patient gets pleasure from secondary processthinking
 Manifesting in external activities, such as schooling,
friendships, hobbies, etc.
Genital
 Sexuality is consensual and adult
 The patient’s concern shifts from primary gratification
to secondary process-thinking.
 Desire is expressed by means of friendships, love
relationships, family and adult responsibilities.
Acknowledges and References
 Kaplan & Sadock’s Synopsis of Psychiatry, B.J. Sadock &
V.A. Sadock, ISBN 0-7817-3183-6
 First Aid for the USMLE Step 2 CK, T. LE, V. Bhushan,
H.S. Bagga, ISBN 978-0-07-162354-4
 Step-Up to Medicine, 2nd edition, S.S. Agabegi, E.D.
Agabegi, ISBN 0-7817-7153-6
 Falcon Review Books for Step 2
 Kaplan 2008 Review Books for Step 2